System for therapy management and terminal used therefor

ABSTRACT

Providing an accurate and effective exchange of information between the physician and the patient regarding the disease condition and the physician&#39;s instruction. A therapy management system includes a host computer on the side of a physician and a patient&#39;s computer. The host computer provides a recording device to record a physician&#39;s instruction and a memory device etc., and the patient&#39;s computer includes a receiving device to receive the physician&#39;s instruction, a display device, a notifying device, recording device and a memory device etc.

BACKGROUND OF THE INVENTION

[0001] 1. Field of the Invention

[0002] The present invention relates to a therapy management systembased on the use of a computer on the side of a patient whereby it ispossible for a physician to examine the patient, prescribe a therapy andeducate the patient, and for the patient to receive the prescription, doas instructed by the physician, and report the result to the physician.

[0003] The present invention particularly relates to a system formanaging therapy based on the use of a portable terminal carried by apatient.

[0004] The present invention also relates to a host computer and apatient side computer, a portable terminal, a portable telephone unitcarried by a patient.

[0005] 2. Description of the Related Art

[0006] Today, in not only Japan but also various countries with theincrease of elderly people in the population, and of the incidence ofdiseases based on everyday habits, an increasingly large number ofpeople suffer from diseases requiring protracted therapy. To meet thissituation, physicians must examine such patients for long periods, andprescribe them medicine and educate them healthy ways of living.

[0007] In other respects, it becomes a custom for physicians to feeddata obtained by examining patients, histories of medication, andcourses of treatment into a computer for the management of those data.

[0008] In still other respects, it has been proposed the patient, byutilizing appropriate machines, should manage or check his/her healthstate at home, or more particularly, adjust his/her daily dose of amedicine, the content and calorie of a meal, and the amount of exerciseby making a necessary calculation by him/herself.

[0009] Under this situation, the information quantities separatelypossessed by the physician and the patient tend to increase. However,exchange of the information between the physician and the patient isstill insufficient: transmission of the information from the physicianto the patient regarding the prescription or instructions, for example,usually occurs by mouth or through a simple memo, when the physicianexamines the patient at his office.

[0010] Now, turn our attention to diabetes. As far as based on reportedresults, in Japan currently there are seven millions people who sufferfrom diabetes, and it is said that the patients in whom diabetes doesexist but is still latent are three times as many as the patientsreported to be diabetic. The danger of this disease lies in followings:the patient does not have a subjective feeling of contracting a disease;the patient must control the disease throughout the rest of his/her lifeafter he/she contracted the disease; and thus the therapy requires fromthe patient an endurance sufficiently strong to faithfully stick to theprescription given to him/her.

SUMMARY OF THE INVENTION

[0011] This invention aims at facilitating an accurate and effectiveexchange of information between the physician and the patient, that is,transmission of the information regarding the prescription andinstructions from the physician to the patient, and transmission of theinformation regarding the disease condition from the patient to thephysician, through the intervention of a computer, particularly aterminal, or more preferably a portable terminal.

[0012] Through this arrangement, it will be possible for the physicianto accurately grasp the disease condition of the patient, and for thepatient to rightly understand the prescription and instructions given tohim/her, which will help the patient accurately and easily observe theprescription and instructions.

[0013] This invention relates to a therapy management system based onthe use of a computer, particularly a portable terminal or a portabletelephone unit wherein the patient has a computer, or more preferably aportable terminal connected through a network to a computer, a hostcomputer on the side of the physician; the patient receives theprescription and instructions from the physician through the computer orthe portable terminal; and the patient acts as prescribed andinstructed, and reports the course of actions and their result to thephysician using the computer, particularly the portable terminal orportable telephone unit.

BRIEF DESCRIPTION OF THE DRAWINGS

[0014]FIG. 1 is a display for the information of therapy andinstructions.

[0015]FIG. 2 is a menu display for diabetic therapy.

[0016]FIG. 3 is a menu display for therapy and instructions.

[0017]FIG. 4 is a menu display for therapy and instructions.

[0018]FIG. 5 is a menu display through which one can set the program ofa selected day.

[0019]FIG. 6 is a menu display through which one can set a time for adaily habit.

[0020]FIG. 7 is a menu display through which one can set diet units fora meal.

[0021]FIG. 8 is a menu display through which one can set diet units fora meal.

[0022]FIG. 9 is a menu display through which one can change the scheduleof a selected day.

[0023]FIG. 10 is a display prompting one to change the time of a meal.

[0024]FIG. 11 is a menu display through which one can set a time for ameal.

[0025]FIG. 12 is a display presenting the schedule of a selected day.

[0026]FIG. 13 is a display prompting one to measure the blood sugar.

[0027]FIG. 14 is a menu display through which one can enter a numericalvalue representing a blood sugar measurement.

[0028]FIG. 15 is a display prompting one to inject insulin.

[0029]FIG. 16 is a display presenting the schedule of a selected day.

[0030]FIG. 17 is a display through which one can enter the amount ofexercise and others (therapy-related instructions).

[0031]FIG. 18 is a display through which one can enter a numerical valuerepresenting the amount of exercise.

[0032]FIG. 19 is a menu display through which one can enter specialnotes.

[0033]FIG. 20 is a menu display for diet management.

[0034]FIG. 21 is a menu display of dishes.

[0035]FIG. 22 is a menu display of dishes.

[0036]FIG. 23 is a menu display for diet management.

[0037]FIG. 24 is a menu display of dishes.

[0038]FIG. 25 is a menu display of dishes.

[0039]FIG. 26 is a display for diet management.

[0040]FIG. 27 is a display for therapy and instructions (pull-down menufor viewing other data).

[0041]FIG. 28 is a menu display through which one can set a time for adaily habit.

[0042]FIG. 29 is a display presenting the program of a selected day.

[0043]FIG. 30 is a display presenting the change of blood sugar level.

[0044]FIG. 31 is a display presenting the change of exercise amount.

[0045]FIG. 32 is a display presenting the changes of body weight andfat.

[0046]FIG. 33 is a display presenting the change of blood pressure.

[0047]FIG. 34 is a menu display through which one can enter specialnotes.

DETAILED DESCRIPTION OF THE INVENTION

[0048] The present invention will be described in detail in thefollowing.

[0049] The physician examines the patient; notes the therapy necessaryfor the patient, names of medicines and their dosage, contents of dietand their calories, exercise required for the recovery of physicalstrength, management schedule, rules to be observed in everyday life,and necessary test items and the methods used for their practice; feedsthose data regarding the therapy and instructions into a host computerfor storage; and then transmits the information carrying the therapy andinstructions to a computer or more preferably a portable terminal or aportable telephone unit on the side of the patient.

[0050] The patient views the information carrying the therapy andinstructions on the computer, or more preferably on the portableterminal or on the portable telephone unit which has received theinformation; cares his/her body, ingests proper medicines, takes properdiet, practices proper exercise, and receives proper tests, asprescribed and instructed; and registers the information regarding thedisease course and therapy result to the computer, or to the portableterminal or to the portable telephone unit.

[0051] The patient connects the computer, portable terminal or portabletelephone unit storing the information of the disease course and therapyresult, to the network for transmitting the information to the hostcomputer on the side of the physician; or when the patient revisits, forexamination, the hospital where the physician resides, he/she carriesthe portable terminal or the portable telephone unit, and transmits theinformation of the disease course and therapy result to the hostcomputer on the side of the physician.

[0052] The physician grasps the current disease condition of the patientby referring to the data stored in the host computer, as well as to thedata regarding the patient's condition at home. Being based on suchknowledge, the physician can give a proper prescription and advice tothe patient, and use the data as a reference material which will berequired when the physician examines the patient at a next interview.

[0053] The present invention will be described in detail in thefollowing.

[0054] The physician examines the patient; notes the therapy necessaryfor the patient, names of medicines and their dosage, contents of dietand their calories, exercise required for the recovery of physicalstrength, management schedule, rules to be observed in everyday life,and necessary test items and the methods used for their practice; feedsthose data regarding the therapy and instructions into a host computerfor storage; and then transmits the information carrying the therapy andinstructions to a computer or more preferably a portable terminal or aportable telephone unit on the side of the patient.

[0055] The patient views the information carrying the therapy andinstructions on the computer, or more preferably on the portableterminal or on the portable telephone unit which has received theinformation; cares his/her body, ingests proper medicines, takes properdiet, practices proper exercise, and receives proper tests, asprescribed and taught; and registers the information regarding thedisease course and therapy result to the computer, or to the portableterminal.

[0056] The patient connects the computer, portable terminal or portabletelephone unit storing the information of the disease course and therapyresult, to the network for transmitting the information to the hostcomputer on the side of the physician; or when the patient visits, forexamination, the hospital where the physician resides, he/she preferablycarries the portable terminal or the portable telephone unit, andtransmits the information of the disease course and therapy result tothe host computer on the side of the physician.

[0057] The physician-grasps the current disease condition of the patientby referring to the data stored in the host computer, as well as to thedata regarding the patient's condition at home. Being based on suchknowledge, the physician can give a proper prescription and advice tothe patient, and use the data as a reference material which will berequired when the physician examines the patient at a next visit.

[0058] The physician feeds the data regarding the condition of thepatient into the host computer, while the patient transmits the dataregarding the condition and therapy result fed into his/her computer,portable terminal or portable telephone unit to the host computer on theside of the physician. In this system, the host computer on the side ofthe physician serves as a server of a network through which, not tomention a plurality of physicians including the physician here concernedcan gain access to the host computer, but their patients can gain accessto the host computer from a proper site abroad as well as domestic totransmit necessary data to it, using a proper means or device.

[0059] An object of this invention is to provide a therapy managementsystem having a host computer on the side of a physician and a computeron the side of a patient wherein the physician side host computercomprises at least:

[0060] a display means to display the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0061] a recording means to record the name of the patient, thetreatment data of the patient, and the instructions from the physician;

[0062] a memory means to store the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0063] a transmission means to transmit the information of therapyinstructions to the patient side computer;

[0064] a receiving means to receive the information of patient's reportresult transmitted by the patient side computer;

[0065] a display means to display the information of patient's reportresult;

[0066] a memory means to store the information of patient's reportresult;

[0067] a memory means to store the information of the patient's pastmedical history;

[0068] a memory means to store the information of patient's past reportresult;

[0069] a memory means to store the information of updated therapyinstructions; and

[0070] a transmission means to transmit the information of updatedtherapy instructions to the patient side computer,

[0071] while the patient side computer comprises at least:

[0072] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0073] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0074] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0075] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0076] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0077] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0078] a memory means to store the recorded content;

[0079] a recording means to record the treatment data obtained bymeasurement;

[0080] a display means to display the treatment data obtained bymeasurement;

[0081] a memory means to store the treatment data obtained bymeasurement; and

[0082] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0083] Another object of this invention is to provide a therapymanagement system having a host computer on the side of a physician anda portable terminal on the side of a patient wherein the physician sidehost computer comprises at least:

[0084] a display means to display the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0085] a recording means to record the name of the patient, thetreatment data of the patient, and the instructions from the physician;

[0086] a memory means to store the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0087] a transmission means to transmit the information of therapyinstructions to the patient side computer;

[0088] a receiving means to receive the information of patient's reportresult transmitted by the patient side computer;

[0089] a display means to display the information of patient's reportresult;

[0090] a memory means to store the information of patient's reportresult;

[0091] a memory means to store the information of the patient's pastmedical history;

[0092] a memory means to store the information of patient's past reportresult;

[0093] a memory means to store the information of updated therapyinstructions; and

[0094] a transmission means to transmit the information of updatedtherapy instructions to the patient side computer,

[0095] while the patient side portable terminal comprises at least:

[0096] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0097] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0098] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0099] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0100] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0101] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0102] a memory means to store the recorded content;

[0103] a recording means to record the treatment data obtained bymeasurement;

[0104] a display means to display the treatment data obtained bymeasurement;

[0105] a memory means to store the treatment data obtained bymeasurement; and

[0106] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0107] A further object hereof is to provide a therapy management systemhaving a host computer on the side of a physician and a portabletelephone unit on the side of a patient wherein the physician side hostcomputer comprises at least:

[0108] a display means to display the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0109] a recording means to record the name of the patient, thetreatment data of the patient, and the instructions from the physician;

[0110] a memory means to store the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0111] a transmission means to transmit the information of therapyinstructions to the patient side computer;

[0112] a receiving means to receive the information of patient's reportresult transmitted by the patient side computer;

[0113] a display means to display the information of patient's reportresult;

[0114] a memory means to store the information of patient's reportresult;

[0115] a memory means to store the information of the patient's pastmedical history;

[0116] a memory means to store the information of patient's past reportresult;

[0117] a memory means to store the information of updated therapyinstructions; and

[0118] a transmission means to transmit the information of updatedtherapy instructions to the patient side computer,

[0119] while the patient side portable telephone comprises at least:

[0120] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0121] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0122] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0123] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0124] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0125] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0126] a memory means to store the recorded content;

[0127] a recording means to record the treatment data obtained bymeasurement;

[0128] a display means to display the treatment data obtained bymeasurement;

[0129] a memory means to store the treatment data obtained bymeasurement; and

[0130] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0131] A further object hereof is to provide a therapy management systemhaving the physician side host computer comprises at least:

[0132] a display means to display the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0133] a recording means to record the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0134] a memory means to store the information of therapy instructionsincluding the name of the patient, the treatment data of the patient,and the instructions from the physician;

[0135] a transmission means to transmit the information of therapyinstructions to the patient side computer;

[0136] a receiving means to receive the information of patient's reportresult transmitted from the patient side;

[0137] a display means to display the information of patient's reportresult;

[0138] a memory means to store the information of patient's reportresult;

[0139] a memory means to store the information of the patient's pastmedical history;

[0140] a memory means to store the information of patient's past reportresult;

[0141] a memory means to store the information of updated therapyinstructions; and

[0142] a transmission means to transmit the information of updatedtherapy instructions to the patient side computer,

[0143] while the patient side computer comprises at least:

[0144] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician transmitted fromthe host computer on the side of the physician;

[0145] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0146] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0147] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0148] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0149] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0150] a memory means to store the recorded content;

[0151] a display means to display the time of meal;

[0152] a setting means through which one can set the time of meal;

[0153] a memory means to store the time of meal thus set;

[0154] a notifying means to notify the time of meal thus set;

[0155] an altering means through which one can alter the set time ofmeal;

[0156] a display means to display the time of meal thus altered;

[0157] a memory means to store the time of meal thus altered;

[0158] a display means to display the diet unit of a meal;

[0159] a setting means through which one can set the diet unit of ameal;

[0160] a memory means to store the diet unit of a meal thus set;

[0161] a display means to display a time for blood sugar measurement;

[0162] a memory means to store the time for blood sugar measurement;

[0163] a notifying means to notify the time for blood sugar measurement;

[0164] a recording means to record a blood sugar level obtained bymeasurement;

[0165] a display means to display the blood sugar level thus recorded;

[0166] a memory means to store the blood sugar level thus recorded;

[0167] a display means to display an exercise amount;

[0168] a recording means to record an amount of exercise actuallyperformed;

[0169] a memory means to store the record; and

[0170] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0171] Another object of this invention is to provide a therapymanagement having the portable terminal on the side of the patientcomprises at least:

[0172] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician, transmitted fromthe host computer on the side of the physician;

[0173] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0174] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0175] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0176] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0177] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0178] a memory means to store the recorded content;

[0179] a display means to display the time of meal;

[0180] a setting means through which one can set the time of meal;

[0181] a memory means to store the time of meal thus set;

[0182] a notifying means to notify the time of meal thus set;

[0183] an altering means through which one can alter the set time ofmeal;

[0184] a display means to display the time of meal thus altered;

[0185] a memory means to store the time of meal thus altered;

[0186] a display means to display the diet unit of a meal;

[0187] a setting means through which one can set the diet unit of ameal;

[0188] a memory means to store the diet unit of a meal thus set;

[0189] a display means to display a time for blood sugar measurement;

[0190] a memory means to store the time for blood sugar measurement;

[0191] a notifying means to notify the time for blood sugar measurement;

[0192] a recording means to record a blood sugar level obtained bymeasurement;

[0193] a display means to display the blood sugar level thus recorded;

[0194] a memory means to store the blood sugar level thus recorded;

[0195] a display means to display an exercise amount;

[0196] a recording means to record an amount of exercise actuallyperformed;

[0197] a memory means to store the record; and

[0198] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0199] The present invention also provides a therapy management systemhaving the portable terminal on the side of the patient comprises atleast:

[0200] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician, transmitted fromthe host computer on the side of the physician;

[0201] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0202] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0203] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0204] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0205] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0206] a memory means to store the recorded content;

[0207] a display means to display the time of meal;

[0208] a setting means through which one can set the time of meal;

[0209] a memory means to store the time of meal thus set;

[0210] a notifying means to notify the time of meal thus set;

[0211] an altering means through which one can alter the set time ofmeal;

[0212] a display means to display the time of meal thus altered;

[0213] a memory means to store the time of meal thus altered;

[0214] a display means to display the diet unit of a meal;

[0215] a setting means through which one can set the diet unit of ameal;

[0216] a memory means to store the diet unit of a meal thus set;

[0217] a display means to display a time for blood sugar measurement;

[0218] a memory means to store the time for blood sugar measurement;

[0219] a notifying means to notify the time for blood sugar measurement;

[0220] a recording means to record a blood sugar level obtained bymeasurement;

[0221] a display means to display the blood sugar level thus recorded;

[0222] a memory means to store the blood sugar level thus recorded;

[0223] a display means to display the time for dispensing a medicine;

[0224] a memory means to store a time for dispensing a medicine;

[0225] a notifying means to notify the time for dispensing a medicine;

[0226] a recording means to record the result of the dispensation of amedicine;

[0227] a display means to display the result of the dispensation of amedicine;

[0228] a memory means to store the result of the dispensation of amedicine;

[0229] a display means to display a time of insulin injection;

[0230] a memory means to store the time for insulin injection;

[0231] a notifying means to notify the time for insulin injection;

[0232] a recording means to record the result of insulin injection;

[0233] a display means to display the result of insulin injection;

[0234] a memory means to store the result of insulin injection;

[0235] a display means to display an exercise amount;

[0236] a recording means to record an amount of exercise actuallyperformed;

[0237] a memory means to store the record; and

[0238] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0239] A further object hereof is to provide a patient side computerused for the therapy management system as described above to be appliedto a diabetic patient and a patient side computer comprising at least:

[0240] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician, transmitted fromthe host computer on the side of the physician;

[0241] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0242] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0243] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0244] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0245] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0246] a memory means to store the recorded content;

[0247] a display means to display the time of meal;

[0248] a setting means through which one can set the time of meal;

[0249] a memory means to store the time of meal thus set;

[0250] a notifying means to notify the time of meal thus set;

[0251] an altering means through which one can alter the set time ofmeal;

[0252] a display means to display the time of meal thus altered;

[0253] a memory means to store the time of meal thus altered;

[0254] a display means to display the diet unit of a meal;

[0255] a setting means through which one can set the diet unit of ameal;

[0256] a memory means to store the diet unit of a meal thus set;

[0257] a display means to display a time for blood sugar measurement;

[0258] a memory means to store the time for blood sugar measurement;

[0259] a notifying means to notify the time for blood sugar measurement;

[0260] a recording means to record a blood sugar level obtained bymeasurement;

[0261] a display means to display the blood sugar level thus recorded;

[0262] a memory means to store the blood sugar level thus recorded;

[0263] a display means to display a time for dispensing a medicine;

[0264] a memory means to store the time for dispensing a medicine;

[0265] a notifying means to notify the time for dispensing a medicine;

[0266] a recording means to record the result of the dispensation of amedicine;

[0267] a display means to display the result of the dispensation of amedicine;

[0268] a memory means to store the result of the dispensation of amedicine;

[0269] a display means to display a time of insulin injection;

[0270] a memory means to store the time for insulin injection;

[0271] a notifying means to notify the time for insulin injection;

[0272] a recording means to record the result of insulin injection;

[0273] a display means to display the result of insulin injection;

[0274] a memory means to store the result of insulin injection;

[0275] a display means to display an exercise amount;

[0276] a recording means to record an amount of exercise actuallyperformed;

[0277] a memory means to store the record; and

[0278] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0279] A further object hereof is to provide a portable terminal for adiabetic patient comprising at least:

[0280] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician, transmitted fromthe host computer on the side of the physician;

[0281] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0282] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0283] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0284] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0285] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0286] a memory means to store the recorded content;

[0287] a display means to display the time of meal;

[0288] a setting means through which one can set the time of meal;

[0289] a memory means to store the time of meal thus set;

[0290] a notifying means to notify the time of meal thus set;

[0291] an altering means through which one can alter the set time ofmeal;

[0292] a display means to display the time of meal thus altered;

[0293] a memory means to store the time of meal thus altered;

[0294] a display means to display the diet unit of a meal;

[0295] a setting means through which one can set the diet unit of ameal;

[0296] a memory means to store the diet unit of a meal thus set;

[0297] a display means to display a time for blood sugar measurement;

[0298] a memory means to store the time for blood sugar measurement;

[0299] a notifying means to notify the time for blood sugar measurement;

[0300] a recording means to record a blood sugar level obtained bymeasurement;

[0301] a display means to display the blood sugar level thus recorded;

[0302] a memory means to store the blood sugar level thus recorded;

[0303] a display means to display a time for dispensing a medicine;

[0304] a memory means to store the time for dispensing a medicine;

[0305] a notifying means to notify the time for dispensing a medicine;

[0306] a recording means to record the result of the dispensation of amedicine;

[0307] a display means to display the result of the dispensation of amedicine;

[0308] a memory means to store the result of the dispensation of amedicine;

[0309] a display means to display a time for insulin injection;

[0310] a memory means to store the time for insulin injection;

[0311] a notifying means to notify the time for insulin injection;

[0312] a recording means to record the result of insulin injection;

[0313] a display means to display the result of insulin injection;

[0314] a memory means to store the result of insulin injection;

[0315] a display means to display an exercise amount;

[0316] a recording means to record an amount of exercise actuallyperformed;

[0317] a memory means to store the record; and

[0318] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0319] A further object hereof is provide a portable telephone unit fora diabetic patient comprising at least:

[0320] a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician, transmitted fromthe host computer on the side of the physician;

[0321] a memory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician;

[0322] a display means to display the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician;

[0323] a display means to display the actions to be taken by the patientin compliance with the instructions from the physician;

[0324] a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician;

[0325] a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician;

[0326] a memory means to store the recorded content;

[0327] a display means to display the time of meal;

[0328] a setting means through which one can set the time of meal;

[0329] a memory means to store the time of meal thus set;

[0330] a notifying means to notify the time of meal thus set;

[0331] an altering means through which one can alter the set time ofmeal;

[0332] a display means to display the time of meal thus altered;

[0333] a memory means to store the time of meal thus altered;

[0334] a display means to display the diet unit of a meal;

[0335] a setting means through which one can set the diet unit of ameal;

[0336] a memory means to store the diet unit of a meal thus set;

[0337] a display means to display a time for blood sugar measurement;

[0338] a memory means to store the time for blood sugar measurement;

[0339] a notifying means to notify the time for blood sugar measurement;

[0340] a recording means to record a blood sugar level obtained bymeasurement;

[0341] a display means to display the blood sugar level thus recorded;

[0342] a memory means to store the blood sugar level thus recorded;

[0343] a display means to display a time for dispensing a medicine;

[0344] a memory means to store the time for dispensing a medicine;

[0345] a notifying means to notify the time for dispensing a medicine;

[0346] a recording means to record the result of the dispensation of amedicine;

[0347] a display means to display the result of the dispensation of amedicine;

[0348] a memory means to store the result of the dispensation of amedicine;

[0349] a display means to display a time for insulin injection;

[0350] a memory means to store the time for insulin injection;

[0351] a notifying means to notify the time for insulin injection;

[0352] a recording means to record the result of insulin injection;

[0353] a display means to display the result of insulin injection;

[0354] a memory means to store the result of insulin injection;

[0355] a display means to display an exercise amount;

[0356] a recording means to record an amount of exercise actuallyperformed;

[0357] a memory means to store the record; and

[0358] a transmission means to transmit the stored information of thepatient's report result to the host computer on the side of thephysician.

[0359] Other objects and advantages will become apparent as thisdisclosure proceeds.

[0360] This invention will be described in detail below taking, forillustration, a case where this invention is applied for the treatmentof a diabetic patient through the use of a computer or preferably aportable terminal.

[0361] Firstly, the physician in charge implements the initial settingof a therapy-oriented portable terminal to be handed to the patientwhich will serve as a computer on the side of the patient. The physicianimplements the initial setting by firstly feeding an ID and password, sothat the data subsequently fed may not be altered by the patient. The IDand password are chosen by the physician as appropriate.

[0362] The physician examines the patient; determines a necessarytherapy to meet the disease; prepares the information carrying theprescription and instructions directed to the patient; and feeds theinformation into a host computer on his/her side for storage.

[0363] The information includes followings for this particular case:date of the initial setting, name of the hospital, name of thephysician, name of the patient, medical record No., type of insulinprescribed, the method and number of insulin administration, dosage ofinsulin, HbAlc (hemoglobin Alc) measurements (HbAlc measurementindicates the daily average of blood sugar level over the last twomonths) (the blood sugar levels determined by the physician and thepatient, and the HbAlc measurement serve as a reference by which one candetermine how well the disease is controlled), date of HbAlcmeasurements, prescribed daily diet units of each meal and actuallyconsumed diet units of each meal, targeted amount of exercise (expressedin terms of steps measured with a pedometer for walking), etc.

[0364] Then, the physician transmits the information carrying theprescription and instructions through the host computer to the portableterminal carried by the patient. In this operation, the physicianseparates the data necessary for the patient from unnecessary data, andtransmits only the former to the patient.

[0365] When the patient revisits the hospital, and the physicianexamines the patient, the physician updates the information of theprescription and instructions, based on the findings obtained in thisexamination. In this operation, the history of alterations applied tothe prescription is registered in the host computer.

[0366] The patient or patient A looks at the screen of his/her portableterminal (FIG. 1), notes the prescription and instructions displayedthere, engages in the control of diabetes following the prescription andinstructions, and feeds daily data required for the control of diabetesby hand or with an automated means.

[0367] The operation of the therapy-oriented portable terminal bypatient A will proceed as follows.

[0368] The operation of the portable terminal by patient A may roughlyconsist of following four categories.

[0369] 1) Implementing initial settings for him/herself.

[0370] 2) Feeding diabetic control actions actually performed inaccordance with the prescription and instructions displayed on theportable terminal.

[0371] 3) Feeding various data required for the control of the diabetes.

[0372] 4) Reviewing the various data fed during the control of thediabetes.

[0373] The steps actually employed under the respective categories willbe described in the order of categories.

[0374] If patient A presses a start button as shown in FIG. 2 of thetherapy-oriented portable terminal, the terminal will be automaticallyturned on, and give a display (menu display hereinafter) as shown inFIG. 2 carrying a menu for the control of diabetes.

[0375] The initial setting performed by the patient includes followings.

[0376] The initial setting performed by the patient relates to everydayrules specific to the patient which are important for the patient toeffectively control the diabetes at home. If set properly, the portableterminal will help the patient effectively take various actionsnecessary for the successful control of the diabetes.

[0377] The display menus through which one can implement or altersettings are as follows.

[0378] The display menu as shown in FIG. 3 will be given when the startbutton is pressed. It has a pull-down menu on its top through which onecan feed input, view data, or implement settings.

[0379] If patient A presses the block indicated “Setting” in thepull-down menu using a pen dedicated for the purpose (to be referred toas “tap” hereinafter), a menu as shown in FIG. 4 necessary forintroducing new settings will be displayed.

[0380] Let's assume, for illustration, patient A wants to set new valuesfor the time of meal and for the time of blood sugar measurement. Then,he/she will take following steps.

[0381] Having the pull-down menu as shown in FIG. 4 at hand, patient Awill tap a block indicated “Setting the time of meal and blood sugarmeasurement,” and obtain a menu as shown in FIG. 5 prompting the settingof daily intake of meal and execution of blood sugar measurement.

[0382] Through this menu, patient A will set the time of meal accordingto his/her habit, and the time of blood sugar measurement to be insertedin a good timing with respect to each meal.

[0383] If patient A wants to set a measurement of blood sugar levelafter a meal, he/she will tap the box associated with the meal, and thena check mark will appear on the box. If patient A wants to erase thecheck mark, he/she will simply tap the box again, and then the box willreturn to the original open state.

[0384] If patient A wants to set the time of a meal, he/she will tap ablock indicated “Scheduled time” and enclosed with dotted lines, andthen have a menu as shown in FIG. 6 through which one can set the timeof the meal. Patient A will feed an appropriate time through this menu,tap an [OK] button, and return to the display as shown in FIG. 5.

[0385] If patient A taps an end button on the display of FIG. 5, he/shewill return to the display of FIG. 3.

[0386] The setting of the number of diet units for each meal to be takendaily occurs as follows.

[0387] If patient A taps a block indicated “Setting daily diet units ofeach meal,” he/she will obtain a menu as shown in FIG. 7 through whichone can set the daily diet units of each meal.

[0388] This menu will give the total daily diet units prescribed by thephysician, and the standard diet units of each meal, and using this menupatient A can finely adjust the prescription according to his preferenceand eating habit.

[0389] If patient A taps a box indicated “Altering diet units” andenclosed with dotted lines, he/she will obtain a “pad for numericalentry” as shown in FIG. 8. Patient A can feed a number representing adesired unit through this pad.

[0390] After necessary numbers have been fed, the portable terminal willmake a calculation using the numbers to see whether the newly entereddiet units are coincident with the daily total diet units prescribed bythe physician, and will inform, through display, the patient of thealtered food units being in short of or in excess of the prescribedunits.

[0391] If patient A taps an end button on the display as shown in FIG.8, he/she will return to the menu display as shown in FIG. 3

[0392] Take Case 1 where patient A engages in the control of diabetesfollowing the instructions given through the therapy-oriented portableterminal.

[0393] The portable terminal automatically delivers instructionsnecessary for the daily control of the disease, based on the settingsimplemented by the physician and patient A, thereby supporting theactions to be taken by patient A for controlling the diabetes.

[0394] The daily supportive actions provided by the portable terminalwill be described, with an attention restricted to the behavior ofpatient A over a period around a supper.

[0395] Let's further assume, for illustration, patient A set the timefor the supper at six thirty in the evening.

[0396] One hour before supper (six thirty), the portable terminal willautomatically give a buzzing sound, present the schedule of that day asshown in FIG. 9, and then show a display as shown in FIG. 10 throughwhich one can alter the time of meal.

[0397] If patient finds no reason to alter the scheduled time of supper,he/she will press a “Confirmation” button, and then the terminal will beready for an action to be taken thirty minutes before supper.

[0398] Let's assume, for illustration, patient A wants to alter the timeof the supper from six thirty to seven. He/she will tap a “Change”button, to alter the time of the supper.

[0399] Then, a display as shown in FIG. 11 will appear through which onecan alter the time of meal. Patient A will tap on necessary numbers, forexample, 7 and 00 in this particular case, check whether the numbers areproperly fed, and tap an [OK] button after confirmation. Then, patient Awill obtain a display as shown in FIG. 12 indicating the time of supperis altered.

[0400] After confirming the alteration, patient A switches off theportable. terminal, and resumes original works.

[0401] Take Case 2 where patient A engages in the control of diabetesfollowing the instructions given through the therapy-oriented portableterminal.

[0402] Thirty minutes before supper (seven), the portable terminal willautomatically give a buzzing sound, present the schedule of that day asshown in FIG. 12, and then show a display as shown in FIG. 13 to promptthe measurement of blood sugar level. If patient A taps an [OK] buttonon the display of FIG. 13, he/she will have a display as shown in FIG.14 to prompt him/her to enter a number representing the result of bloodsugar measurement.

[0403] Patient A measures the blood sugar level with a blood sugar metercarried by him/her, enters a number representing the measurement resultthrough the numerical pad, and taps an [OK] button, and then will obtaina display as shown in FIG. 15 to prompt him/her to administer insulin.

[0404] Patient A confirms the type of insulin and its dosage on display,and shoots a dose of insulin as prescribed.

[0405] After completing the shot, patient A will tap an [OK] button onthe display of FIG. 15, and then he/she will have a display showing thehistory of that day in which the times of blood sugar measurements andof insulin shots are checked.

[0406] This is the basic actions taken by patient A with respect to asupper relying on the supportive actions from the portable terminal.

[0407] Various data necessary for the successful control of diabeteswill be described below.

[0408] The description will be restricted to the entry of data necessaryfor the successful control of diabetes, excluding those required for theblood sugar measurement and for the insulin administration.

[0409] If one wants to feed such data, he/she will tap a block indicated“Input” on the display as shown in FIG. 3, and then have a menu as shownin FIG. 17 through which he/she can feed input.

[0410] Entry of the data regarding exercise and others will occur as amass as follows.

[0411] If one wants to feed data regarding the amount of exercise,weight, body fat, blood pressure, etc., he/she will tap a blockindicated “Exercise and others” in the menu as shown in FIG. 17, andthen will have a display as shown in FIG. 18 through which he/she canfeed necessary input.

[0412] If one wants to take a note of rules to be observed in everydaylife, he/she will operate on the terminal as follows.

[0413] If a patient wants to take a note of a rule to be observed forthe successful control of diabetes, he/she will tap a block indicated“Special note” on a menu as shown in FIG. 17 and then will have adisplay as shown in FIG. 19 through which he/she can feed necessaryinput.

[0414] If a patient wants to manage his/her diet, he/she will operatedon the terminal as follows.

[0415] For management of the daily diet, the patient will tap a blockindicated “Diet management” on the display of FIG. 17, and then willhave a display as shown in FIG. 20 through which he/she can feed inputnecessary for the management of diet.

[0416] The screen of FIG. 20 gives a display where four, seven and oneunits are prescribed for breakfast, lunch and refreshment respectivelywhile eight units are prescribed for supper. This means the supper willaccord with the prescription, as long as the units contained in thesupper are equal to or less than eight units.

[0417] Selection of appropriate dishes will occur as follows.

[0418] If a patient taps a [Menu] button downward on the right on adisplay as shown in FIG. 20, he/she will have a display as shown in FIG.21 to give a meal menu.

[0419] The menu of FIG. 21 relates mainly to home-made dishes, but thepatient, as desired, can have a display to give a menu of dishes servedby nearby restaurants or by caterers.

[0420] Let's assume, for illustration, patient A selects a menu ofhomemade dishes.

[0421] Firstly, if patient A taps a block indicated “Boiled rice” fromthe menu of home-made dishes, he/she will receive another menu ofvariously cooked rice.

[0422] If patient A taps a block indicated “Boiled husked rice,” he/shewill have a display as shown in FIG. 23 to present the “Unit data forcumulative calculation.”

[0423] This display to indicate the “Unit data for cumulativecalculation” will give data such as the date of recording including theday, month and year, and the relevant meal including breakfast, lunch,refreshment and supper, as well as the boiled husked rice selected abovetogether with its units: in this particular case 2.7 units are givenwhich indicate the fraction of the boiled husked rice in the eight unitsassigned to the supper.

[0424] Then, the patient will select supplementary dishes. If he/shetaps a button indicated “Additional writing” on the display of FIG. 23,he/she will return to the display of FIG. 21 to present home-madedishes.

[0425] If the patient taps a block indicated “Beef-based dishes,” he/shewill have a menu of beef-based dishes as shown in FIG. 24.

[0426] In FIG. 24, the solid square placed on the right end of each dishis a button which, if pressed, will give a photograph of the dish tohelp the patient visually identify the dish. Thus, if the patient taps asolid square, a display as shown in FIG. 25 will be given.

[0427] If the patient taps a block indicated “Beef and pimento frizzledin oil,” he/she will have a display as shown in FIG. 26, or the samedisplay as in FIG. 23 except that a dish consisting of beef and pimentofrizzed in oil is newly added.

[0428] A display as shown in FIG. 27 gives a menu of the supper whichconsists of vegetable root salad as well as of the aforementioneddishes, the units of which meet the units prescribed for the supper. Thedata will be registered to a database stored in the portable terminal.

[0429] Moreover, the patient can review various data fed during thecontrol of the diabetes.

[0430] If the patient wants to review certain data stored in a databaseof the portable terminal, he/she will start from a pull-down menu forviewing data (see FIG. 27) pulled from the top of the menu display ofFIG. 3.

[0431] Through this menu, the patient can gain access to displays forviewing a daily schedule (FIG. 28), daily program (FIG. 29), the changeof blood sugar level (FIG. 30), the change of exercise amount (FIG. 31),the change of body weight and fat (FIG. 32), the change of bloodpressure (FIG. 33) and special notes (FIG. 34).

[0432] So much for the description of the basic operation of theportable terminal carried by patient A.

[0433] The term “information of therapy instructions” used herein refersto every instruction and teaching given by the physician for thetreatment of a given disease; and the term “information of patient'sresult report” used herein refers to every therapy result obtained froma patient to which the therapy is applied such as the actions taken bythe patient in compliance with the instructions from the physician, andthe results of therapy applied to the patient in compliance with theinstructions from the physician including the results of daily bloodsugar measurement, data of various tests, the number of insulinadministration, the dosage of insulin, the diet units of each meal, theexercise amount (in terms of steps measured with a pedometer), theamount of consumed calorie, etc.

[0434] The term may also include the data of blood pressure and weightof the patient obtained as appropriate.

[0435] Patient A revisits the hospital carrying the portable terminal orportable telephone unit, and hands it to the physician. The portableterminal or portable telephone unit is electrically connected to thehost computer; and the information of therapy results fed by patient Aduring the period between the previous visit and this visit istransmitted to the host computer. The physician views the data, examinespatient A, gives him/her new instructions, and updates the informationof therapy and instructions. Those renewed data are transmitted to theportable terminal or portable telephone unit.

[0436] In the above description, attention has been mainly restricted tothe treatment of a diabetic patient, but of course this invention can beapplied to the treatment of other diseases such as hypertension, heartdiseases, renal diseases, gout, and diseases resulting from everydayhabits, using appropriate parameters suitable for the disease, as longas the application falls within the scope of this invention as definedby the appended claims.

[0437] According to this invention, it is also possible for a portableterminal to connect a patient through a network with a catering serviceprovider, and to allow the caterer to provide the patient with a dietmatching his/her disease.

[0438] Because the portable terminal is provided with various high-gradefunctions such as storage of data, display, generation of an alarmingsound, etc., it allows the physician and the patient to give a moredetailed and precise description of prescription and instructions, andof therapy results than would be possible if the same were done by mouthor by a document. Accordingly, it will be possible for the patient toaccurately grasp the instructions from the physician, which may lead tothe more faithful observance by the patient of the instructions from thephysician.

[0439] In the above description, attention has been mainly restricted tothe treatment of a diabetic patient based on the use of atherapy-oriented portable terminal. The portable terminal mayincorporate a package including a palm device and a palm OS containingdevice combined as a diabetes care menu. Then, the patient will managehis/her disease by him/herself, utilizing the functions of the portableterminal such as memory, calculation, display, alarm, calendar, address,communication through a network, etc.

[0440] If the patient wants to feed data necessary for the management ofdisease, it will be of course possible for him/her to obtain measurementresults such as blood sugar levels by using an appropriate meter, and tofeed them by him/herself. However, it is also possible to electricallyconnect the meter with the portable terminal, thereby allowing the meterto directly transmit measurement results to the device in the terminalthrough a cable or using an infra-red beam.

[0441] According to this invention, it is possible for a diabeticpatient to timely and regularly measure blood sugar levels and giveinsulin shots which must be usually done several times a day, no matterhow much he/she may be absorbed in his/her doings, because the terminalalarms the patient at a good timing in correspondence with his/herprescription.

[0442] According to this invention, the diabetic patient can avoid thenecessity of complicated calculations required for the acquisition ofthe calorie of a meal, as well as the consumed amount.

[0443] According to this invention, it is possible for the physician toaccurately grasp the condition of a patient, based on the dataaccumulated in a host computer, as well as on the data fed by thepatient while he/she was at home, and thus to apply a right therapy, andgive a proper advice to the patient, and to use those data as a materialfor a renewed examination.

[0444] Conventionally it is a custom for a diabetic patient to carry anote with him/her to record the measurement results of blood sugarlevel, and the data of insulin shots by hand several times for a day.This is so cumbersome that the patient often neglects to record.According to the system of this invention, the terminal or the telephoneunit is so handy that it can be freely carried while being kept in abreast pocket, and it only requires simple manipulation even when theentry or storage of data is required, because it incorporates anexcellent dedicated program.

[0445] Because this invention has a configuration as described above, itwill allow the exchange of information between a physician and apatient, or transmission of the information of the prescription andinstructions from the physician to the patient to occur at a higherlevel than is possible with conventional means. This arrangement willmake it possible for the physician to accurately grasp the condition ofthe patient, and for the patient to rightly understand the prescriptionand instructions given to him/her by the physician, which will help thepatient precisely and easily follow the prescription and instructions.

[0446] While the invention has been particularly shown and describedwith reference to preferred embodiments thereof, It will be understoodby those skilled in the art that the foregoing and other changes in formand details can be made therein without departing from the spirit andscope of the invention.

What is claimed is:
 1. A therapy management system having a hostcomputer on the side of a physician and a computer on the side of apatient wherein the physician side host computer comprises at least: adisplay means to display the information of therapy instructionsincluding the name of the patient, the treatment data of the patient,and the instructions from the physician; a recording means to record thename of the patient, the treatment data of the patient, and theinstructions from the physician; a memory means to store the name of thepatient, the treatment data of the patient, and the instructions fromthe physician; a transmission means to transmit the information oftherapy instructions to the patient side computer; a receiving means toreceive the information of patient's report result transmitted by thepatient side computer; a display means to display the information ofpatient's report result; a memory means to store the information ofpatient's report result; a memory means to store the information of thepatient's past medical history; a memory means to store the informationof patient's past report result; a memory means to store the informationof updated therapy instructions; and a transmission means to transmitthe information of updated therapy instructions to the patient sidecomputer, while the patient side computer comprises at least: areceiving means to receive the information of therapy instructionsincluding the name of the patient, the treatment data of the patient,and the instructions from the physician; a memory means to store thethus received information of therapy instructions including the name ofthe patient, the treatment data of the patient, and the instructionsfrom the physician; a display means to display the thus receivedinformation of therapy instructions including the name of the patient,the treatment data of the patient, and the instructions from thephysician; a display means to display the actions to be taken by thepatient in compliance with the instructions from the physician; anotifying means to notify the patient of the actions to be taken incompliance with the instructions from the physician; a recording meansto record the actions actually taken by the patient in compliance withthe instructions from the physician; a memory means to store therecorded content; a recording means to record the treatment dataobtained by measurement; a display means to display the treatment dataobtained by measurement; a memory means to store the treatment dataobtained by measurement; and a transmission means to transmit the storedinformation of the patient's report result to the host computer on theside of the physician.
 2. A therapy management system as described inclaim 1 wherein the patient side computer comprises a portable terminal.3. A therapy management system as described in claim 1 wherein thepatient side computer comprises a portable telephone unit.
 4. A therapymanagement system as described in claim 1 wherein the physician sidehost computer comprises at least: a display means to display theinformation of therapy instructions including the name of the patient,the treatment data of the patient, and the instructions from thephysician; a recording means to record the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician; a memory means tostore the information of therapy instructions including the name of thepatient, the treatment data of the patient, and the instructions fromthe physician; a transmission means to transmit the information oftherapy instructions to the patient side computer; a receiving means toreceive the information of patient's report result transmitted from thepatient side; a display means to display the information of patient'sreport result; a memory means to store the information of patient'sreport result; a memory means to store the information of the patient'spast medical history; a memory means to store the information ofpatient's past report result; a memory means to store the information ofupdated therapy instructions; and a transmission means to transmit theinformation of updated therapy instructions to the patient sidecomputer, while the patient side computer comprises at least: areceiving means to receive the information of therapy instructionsincluding the name of the patient, the treatment data of the patient,and the instructions from the physician transmitted from the hostcomputer on the side of the physician; a memory means to store the thusreceived information of therapy instructions including the name of thepatient, the treatment data of the patient, and the instructions fromthe physician; a display means to display the thus received informationof therapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician; a displaymeans to display the actions to be taken by the patient in compliancewith the instructions from the physician; a notifying means to notifythe patient of the actions to be taken in compliance with theinstructions from the physician; a recording means to record the actionsactually taken by the patient in compliance with the instructions fromthe physician; a memory means to store the recorded content; a displaymeans to display the time of meal; a setting means through which one canset the time of meal; a memory means to store the time of meal thus set;a notifying means to notify the time of meal thus set; an altering meansthrough which one can alter the set time of meal; a display means todisplay the time of meal thus altered; a memory means to store the timeof meal thus altered; a display means to display the diet unit of ameal; a setting means through which one can set the diet unit of a meal;a memory means to store the diet unit of a meal thus set; a displaymeans to display a time for blood sugar measurement; a memory means tostore the time for blood sugar measurement; a notifying means to notifythe time for blood sugar measurement; a recording means to record ablood sugar level obtained by measurement; a display means to displaythe blood sugar level thus recorded; a memory means to store the bloodsugar level thus recorded; a display means to display an exerciseamount; a recording means to record an amount of exercise actuallyperformed; a memory means to store the record; and a transmission meansto transmit the stored information of the patient's report result to thehost computer on the side of the physician.
 5. A therapy managementsystem as described in claim 2 wherein the portable terminal on the sideof the patient comprises at least: a receiving means to receive theinformation of therapy instructions including the name of the patient,the treatment data of the patient, and the instructions from thephysician, transmitted from the host computer on the side of thephysician; a memory means to store the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician; a displaymeans to display the thus received information of therapy instructionsincluding the name of the patient, the treatment data of the patient,and the instructions from the physician; a display means to display theactions to be taken by the patient in compliance with the instructionsfrom the physician; a notifying means to notify the patient of theactions to be taken in compliance with the instructions from thephysician; a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician; a memorymeans to store the recorded content; a display means to display the timeof meal; a setting means through which one can set the time of meal; amemory means to store the time of meal thus set; a notifying means tonotify the time of meal thus set; an altering means through which onecan alter the set time of meal; a display means to display the time ofmeal thus altered; a memory means to store the time of meal thusaltered; a display means to display the diet unit of a meal; a settingmeans through which one can set the diet unit of a meal; a memory meansto store the diet unit of a meal thus set; a display means to display atime for blood sugar measurement; a memory means to store the time forblood sugar measurement; a notifying means to notify the time for bloodsugar measurement; a recording means to record a blood sugar levelobtained by measurement; a display means to display the blood sugarlevel thus recorded; a memory means to store the blood sugar level thusrecorded; a display means to display an exercise amount; a recordingmeans to record an amount of exercise actually performed; a memory meansto store the record; and a transmission means to transmit the storedinformation of the patient's report result to the host computer on theside of the physician.
 6. A therapy management system as described inclaim 2 wherein the portable terminal on the side of the patientcomprises at least: a receiving means to receive the information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician,transmitted from the host computer on the side of the physician; amemory means to store the thus received information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician; a display means todisplay the thus received information of therapy instructions includingthe name of the patient, the treatment data of the patient, and theinstructions from the physician; a display means to display the actionsto be taken by the patient in compliance with the instructions from thephysician; a notifying means to notify the patient of the actions to betaken in compliance with the instructions from the physician; arecording means to record the actions actually taken by the patient incompliance with the instructions from the physician; a memory means tostore the recorded content; a display means to display the time of meal;a setting means through which one can set the time of meal; a memorymeans to store the time of meal thus set; a notifying means to notifythe time of meal thus set; an altering means through which one can alterthe set time of meal; a display means to display the time of meal thusaltered; a memory means to store the time of meal thus altered; adisplay means to display the diet unit of a meal; a setting meansthrough which one can set the diet unit of a meal; a memory means tostore the diet unit of a meal thus set; a display means to display atime for blood sugar measurement; a memory means to store the time forblood sugar measurement; a notifying means to notify the time for bloodsugar measurement; a recording means to record a blood sugar levelobtained by measurement; a display means to display the blood sugarlevel thus recorded; a memory means to store the blood sugar level thusrecorded; a display means to display the time for dispensing a medicine;a memory means to store a time for dispensing a medicine; a notifyingmeans to notify the time for dispensing a medicine; a recording means torecord the result of the dispensation of a medicine; a display means todisplay the result of the dispensation of a medicine; a memory means tostore the result of the dispensation of a medicine; a display means todisplay a time of insulin injection; a memory means to store the timefor insulin injection; a notifying means to notify the time for insulininjection; a recording means to record the result of insulin injection;a display means to display the result of insulin injection; a memorymeans to store the result of insulin injection; a display means todisplay an exercise amount; a recording means to record an amount ofexercise actually performed; a memory means to store the record; and atransmission means to transmit the stored information of the patient'sreport result to the host computer on the side of the physician.
 7. Apatient side computer used for the therapy management system asdescribed in claim 1 to be applied to a diabetic patient, comprising atleast: a receiving means to receive the information of therapyinstructions including the name of the patient, the treatment data ofthe patient, and the instructions from the physician, transmitted fromthe host computer on the side of the physician; a memory means to storethe thus received information of therapy instructions including the nameof the patient, the treatment data of the patient, and the instructionsfrom the physician; a display means to display the thus receivedinformation of therapy instructions including the name of the patient,the treatment data of the patient, and the instructions from thephysician; a display means to display the actions to be taken by thepatient in compliance with the instructions from the physician; anotifying means to notify the patient of the actions to be taken incompliance with the instructions from the physician; a recording meansto record the actions actually taken by the patient in compliance withthe instructions from the physician; a memory means to store therecorded content; a display means to display the time of meal; a settingmeans through which one can set the time of meal; a memory means tostore the time of meal thus set; a notifying means to notify the time ofmeal thus set; an altering means through which one can alter the settime of meal; a display means to display the time of meal thus altered;a memory means to store the time of meal thus altered; a display meansto display the diet unit of a meal; a setting means through which onecan set the diet unit of a meal; a memory means to store the diet unitof a meal thus set; a display means to display a time for blood sugarmeasurement; a memory means to store the time for blood sugarmeasurement; a notifying means to notify the time for blood sugarmeasurement; a recording means to record a blood sugar level obtained bymeasurement; a display means to display the blood sugar level thusrecorded; a memory means to store the blood sugar level-thus recorded; adisplay means to display a time for dispensing a medicine; a memorymeans to store the time for dispensing a medicine; a notifying means tonotify the time for dispensing a medicine; a recording means to recordthe result of the dispensation of a medicine; a display means to displaythe result of the dispensation of a medicine; a memory means to storethe result of the dispensation of a medicine; a display means to displaya time of insulin injection; a memory means to store the time forinsulin injection; a notifying means to notify the time for insulininjection; a recording means to record the result of insulin injection;a display means to display the result of insulin injection; a memorymeans to store the result of insulin injection; a display means todisplay an exercise amount; a recording means to record an amount ofexercise actually performed; a memory means to store the record; and atransmission means to transmit the stored information of the patient'sreport result to the host computer on the side of the physician.
 8. Aportable terminal for a diabetic patient comprising at least: areceiving means to receive the information of therapy instructionsincluding the name of the patient, the treatment data of the patient,and the instructions from the physician, transmitted from the hostcomputer on the side of the physician; a memory means to store the thusreceived information of therapy instructions including the name of thepatient, the treatment data of the patient, and the instructions fromthe physician; a display means to display the thus received informationof therapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician; a displaymeans to display the actions to be taken by the patient in compliancewith the instructions from the physician; a notifying means to notifythe patient of the actions to be taken in compliance with theinstructions from the physician; a recording means to record the actionsactually taken by the patient in compliance with the instructions fromthe physician; a memory means to store the recorded content; a displaymeans to display the time of meal; a setting means through which one canset the time of meal; a memory means to store the time of meal thus set;a notifying means to notify the time of meal thus set; an altering meansthrough which one can alter the set time of meal; a display means todisplay the time of meal thus altered; a memory means to store the timeof meal thus altered; a display means to display the diet unit of ameal; a setting means through which one can set the diet unit of a meal;a memory means to store the diet unit of a meal thus set; a displaymeans to display a time for blood sugar measurement; a memory means tostore the time for blood sugar measurement; a notifying means to notifythe time for blood sugar measurement; a recording means to record ablood sugar level obtained by measurement; a display means to displaythe blood sugar level thus recorded; a memory means to store the bloodsugar level thus recorded; a display means to display a time fordispensing a medicine; a memory means to store the time for dispensing amedicine; a notifying means to notify the time for dispensing amedicine; a recording means to record the result of the dispensation ofa medicine; a display means to display the result of the dispensation ofa medicine; a memory means to store the result of the dispensation of amedicine; a display means to display a time for insulin injection; amemory means to store the time for insulin injection; a notifying meansto notify the time for insulin injection; a recording means to recordthe result of insulin injection; a display means to display the resultof insulin injection; a memory means to store the result of insulininjection; a display means to display an exercise amount; a recordingmeans to record an amount of exercise actually performed; a memory meansto store the record; and a transmission means to transmit the storedinformation of the patient's report result to the host computer on theside of the physician.
 9. A portable telephone unit for a diabeticpatient comprising at least: a receiving means to receive theinformation of therapy instructions including the name of the patient,the treatment data of the patient, and the instructions from thephysician, transmitted from the host computer on the side of thephysician; a memory means to store the thus received information oftherapy instructions including the name of the patient, the treatmentdata of the patient, and the instructions from the physician; a displaymeans to display the thus received information of therapy instructionsincluding the name of the patient, the treatment data of the patient,and the instructions from the physician; a display means to display theactions to be taken by the patient in compliance with the instructionsfrom the physician; a notifying means to notify the patient of theactions to be taken in compliance with the instructions from thephysician; a recording means to record the actions actually taken by thepatient in compliance with the instructions from the physician; a memorymeans to store the recorded content; a display means to display the timeof meal; a setting means through which one can set the time of meal; amemory means to store the time of meal thus set; a notifying means tonotify the time of meal thus set; an altering means through which onecan alter the set time of meal; a display means to display the time ofmeal thus altered; a memory means to store the time of meal thusaltered; a display means to display the diet unit of a meal; a settingmeans through which one can set the diet unit of a meal; a memory meansto store the diet unit of a meal thus set; a display means to display atime for blood sugar measurement; a memory means to store the time forblood sugar measurement; a notifying means to notify the time for bloodsugar measurement; a recording means to record a blood sugar levelobtained by measurement; a display means to display the blood sugarlevel thus recorded; a memory means to store the blood sugar level thusrecorded; a display means to display a time for dispensing a medicine; amemory means to store the time for dispensing a medicine; a notifyingmeans to notify the time for dispensing a medicine; a recording means torecord the result of the dispensation of a medicine; a display means todisplay the result of the dispensation of a medicine; a memory means tostore the result of the dispensation of a medicine; a display means todisplay a time for insulin injection; a memory means to store the timefor insulin injection; a notifying means to notify the time for insulininjection; a recording means to record the result of insulin injection;a display means to display the result of insulin injection; a memorymeans to store the result of insulin injection; a display means todisplay an exercise amount; a recording means to record an amount ofexercise actually performed; a memory means to store the record; and atransmission means to transmit the stored information of the patient'sreport result to the host computer on the side of the physician.